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erg <br /> REZONE PETITION # 6elc CONDITIONAL USE PERMIT # <br /> C.U.P. ONLY: Action is/is not requested at the <br /> Public Hearing. <br /> Date <br /> Place an "X" in the box if all or part of the <br /> proposed Rezone/C.U. P. area is affected by any of <br /> the districts below: <br /> 00 FLOOD PLAIN <br /> 00 WETLANDS <br /> yes SHORELAND - Body of Water 1 ,, +-{ <br /> -+a 14 .d <br /> N o WELLHEAD PROTECTION AREA Cr{ r�LA S ,J + , <br /> •S r-e ,-`. P a f 4- o ,---e Z o, <br /> .00 COUNTY REGIONAL AIRPORT HEIGHT J <br /> LIMITATION AREA <br /> do HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> yFS <br /> c„. E . 2 . <br /> Lc E X c C r--I E r-f o <br /> F. P. C.c'Py <br /> O <br /> ar' V o <br />